Hathaway, Charles Richard
Hathaway, Charles Richard is an sole proprietor health care provider with primary practice located at 10011 Se Division St Suite 205, Portland OR 97266-1351. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Hathaway, Charles Richard can be contacted via phone (503) 256-2654.Contact Information
Primary practice address
10011 Se Division St Suite 205
Portland OR 97266-1351
Phone: (503) 256-2654
Fax: (503) 256-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 27-1248 | Oregon |
Profile Details
| NPI number | 1093896631 |
|---|---|
| LBN Legal business name | Hathaway, Charles Richard |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Nov 9th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093896631 | NPPES |
| Oregon | Other | 20-1718201 | TAX ID |
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